| NPI | 1073891305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0024169535) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 12197-33) |
| 207Q00000X Family Medicine (Licence: CT 10498) | |
| 207Q00000X Family Medicine (Licence: NY 350933) | |
| 207Q00000X Family Medicine (Licence: SC 26067) | |
| 207Q00000X Family Medicine (Licence: WV 112171) | |
| 207Q00000X Family Medicine (Licence: NC 5016337) | |
| 207Q00000X Family Medicine (Licence: ND R52099) | |
| 207Q00000X Family Medicine (Licence: GA GAA-NP000687) | |
| 207Q00000X Family Medicine (Licence: PA SP025819) | |
| 207Q00000X Family Medicine (Licence: SD CP002359) | |
| 207Q00000X Family Medicine (Licence: NJ 26NJ01451500) | |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2025-10-14 |